Carmen Leah Johnson, MD | |
200 Bunker Hill Dr, Aitkin, MN 56431-1865 | |
(218) 927-2121 | |
Not Available |
Full Name | Carmen Leah Johnson |
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Gender | Female |
Speciality | Family Medicine |
Location | 200 Bunker Hill Dr, Aitkin, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770524258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 44732 (Minnesota) | Primary |
Entity Name | Aitkin Community Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942277835 PECOS PAC ID: 4981514692 Enrollment ID: O20031107000093 |
Entity Name | Lake View Memorial Hospital, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023067642 PECOS PAC ID: 9032002688 Enrollment ID: O20040206000105 |
Entity Name | Cook County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487712493 PECOS PAC ID: 4284629742 Enrollment ID: O20050906000732 |
Entity Name | Cook County Hospital District |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1487712493 PECOS PAC ID: 4284629742 Enrollment ID: O20091207000102 |
Mailing Address | Practice Location Address |
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Carmen Leah Johnson, MD 315 N Oak Bend Dr, Duluth, MN 55811-5223 Ph: (218) 729-8883 | Carmen Leah Johnson, MD 200 Bunker Hill Dr, Aitkin, MN 56431-1865 Ph: (218) 927-2121 |
Erik Bostrom, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Bunker Hill Dr, Aitkin, MN 56431 Phone: 218-927-2157 | |
Aaron Matthew Jordan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Bunker Hill Dr, Aitkin, MN 56431 Phone: 218-927-2157 Fax: 218-927-4130 | |
Mr. Timothy J Arnold, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Bunker Hill Dr, Aitkin, MN 56431 Phone: 218-927-2157 Fax: 218-927-4130 | |
David Douglas Taylor, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Bunker Hill Dr, Aitkin, MN 56431 Phone: 218-927-2121 | |
Mark E. Heggem, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Bunker Hill Dr, Aitkin, MN 56431 Phone: 218-927-2157 Fax: 218-927-4130 | |
Donald B Hughes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Bunker Hill Dr, Aitkin, MN 56431 Phone: 218-927-2157 Fax: 218-927-4130 | |
Charles P Schotzko, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Bunker Hill Dr, Aitkin, MN 56431 Phone: 218-927-2157 Fax: 218-927-4130 |